Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.26 / $978.91 / $5,526.01	Professional		$638.26	$978.91	$5,526.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $897.58 / $897.58	Facility		$897.58	$897.58	$897.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $655.23 / $897.58	Professional		$655.23	$655.23	$897.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,142.32 / $3,042.56 / $3,968.26	Professional		$1,142.32	$3,042.56	$3,968.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $978.91 / $1,341.11 / $1,631.89	Facility		$978.91	$1,341.11	$1,631.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.39 / $1,533.98 / $1,713.48	Professional		$1,213.39	$1,533.98	$1,713.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,295.35 / $1,593.64 / $1,792.00	Facility		$1,295.35	$1,593.64	$1,792.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,468.70 / $1,631.89 / $1,631.89	Professional		$1,468.70	$1,631.89	$1,631.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $1,399.84 / $1,713.48	Facility		$897.58	$1,399.84	$1,713.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $1,428.94 / $1,795.08	Professional		$655.23	$1,428.94	$1,795.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,359.60 / $2,713.78 / $5,725.19	Facility		$1,359.60	$2,713.78	$5,725.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,403.43 / $1,795.08 / $1,795.08	Professional		$1,403.43	$1,795.08	$1,795.08
United Facility/Professional Facility Modifier Low / Median / High Price $957.27 / $957.27 / $957.27	Facility		$957.27	$957.27	$957.27
United Facility/Professional Professional Modifier Low / Median / High Price $674.56 / $716.63 / $1,367.23	Professional		$674.56	$716.63	$1,367.23